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Afatinib as Second-line Therapy for Lung Cancer With Epidermal Growth Factor Receptor (EGFR) Mutation

1. juni 2018 opdateret af: Boehringer Ingelheim

An Open Label, Single-arm Phase IV Study to Assess the Efficacy and Safety of Afatinib as Second-line Therapy for Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer (NSCLC) Harbouring an EGFR Mutation (Del19 or L858R) Who Have Failed First-line Treatment With Platinum-based Chemotherapy

The objectives of this single-arm, open-label trial are to assess the efficacy and safety of afatinib as second line treatment for patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) harbouring a common EGFR mutation who have failed first-line platinum-based chemotherapy and to demonstrate that the efficacy and safety are comparable to the results seen in previous trials.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

60

Fase

  • Fase 4

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Egypten
      • Alexandria, Egypten, 21131
        • Clinical Research Center, Alexandria University Hospital
      • Cairo, Egypten, 11796
        • National Cancer Institute, Cairo University
      • Cairo, Egypten, 12311
        • kasr Al Ainy Hospital
  • Filippinerne
      • Baguio City, Filippinerne, 2600
        • Baguio General Hospital and Medical Center
      • Taguig, Filippinerne, 1634
        • St. Luke's Medical Center
  • Malaysia
      • Nilai, Malaysia, 71800
        • Nilai Medical Centre
  • Polen
      • Gdansk, Polen, 80-952
        • University Clinical Center, Gdansk
      • Szczecin-Zdunowo, Polen, 70-891
        • Specialist Hospital, Szczecin-Zdunowo
      • Warsaw, Polen, 02-781
        • Oncol Centre M Sklodowska-Curie, Dept of Lung & Chest Cancer
  • Rumænien
      • Braila, Rumænien, 810303
        • Braila County Emergency Hospital, Medical Oncology
      • Bucharest, Rumænien, 022328
        • Institute of Oncology 'Prof. Dr. Alexandru Trestioreanu'
      • Craiova, Rumænien, 200347
        • Sf. Nectarie Oncology Center, Craiova
      • Iasi, Rumænien, 700483
        • Regional Oncology Institute of Iasi, Medical Oncology
  • Serbien
      • Belgrade, Serbien, 11000
        • Institute for Oncol & Radiol of Serbia, Clinic f. Med. Onco.
      • Belgrade, Serbien, 11129
        • Clinical Center of Serbia
      • Kragujevac, Serbien, 34000
        • Clinical Center Kragujevac
      • Sremska Kamenica, Serbien, 21204
        • Inst. for Pulm. Diseases of Vojvodine, Clinic f. Pulm. Oncol
  • Thailand
      • Bangkok, Thailand, 10330
        • King Chulalongkorn Memorial Hospital
      • Bangkok, Thailand, 10400
        • Rajavithi Hospital
      • Bangkok, Thailand, 10310
        • Wattanosoth Hospital
      • Songkhla, Thailand, 90110
        • Songklanagarind hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion criteria:

  1. Pathologically confirmed diagnosis of Stage IIIB (with cytologically proven pleural effusion or pericardial effusion) or Stage IV adenocarcinoma of the lung. Patients with mixed histology are eligible if adenocarcinoma is the predominant histology.
  2. Documented EGFR mutation (L858R and/or Deletion 19) with no other known EGFR mutation.
  3. Measureable disease according to RECIST 1.1.
  4. Radiologically confirmed progression or recurrence of disease during or following first line therapy with a platinum-based chemotherapy regimen.
  5. Eastern Cooperative Oncology Group (ECOG) performance score of 0 or 1.
  6. Adequate organ function.

Exclusion criteria:

  1. More than one line of prior therapy for disease.
  2. Previously received less than 3 cycles of platinum-based chemotherapy due to toxicity and/or intolerance of treatment.
  3. Previous treatment with any EGFR targeting Tyrosine Kinase Inhibitor (TKI) or antibody.
  4. Known pre-existing interstitial lung disease.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Afatinib
Afatinib tablet once daily until progression
Medicin: Afatinib
Afatinib tablet once daily until progression

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Objective Tumour Response (Complete Response [CR], Partial Response [PR]) as Assessed by the Investigator According to the RECIST Version 1.1
Tidsramme: Post baseline tumour-imaging was performed at every 8 weeks until Week 56 and then every 12 weeks; up to 802 days
As Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by Magnetic resonance imaging (MRI): Complete Response (CR), disappearance of all target lesions; Partial Response (PR), =30% decrease in the sum of the longest diameter of target lesions
Post baseline tumour-imaging was performed at every 8 weeks until Week 56 and then every 12 weeks; up to 802 days

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Progression-free Survival (PFS) as Assessed by the Investigator According to RECIST 1.1.
Tidsramme: Post baseline tumour-imaging was performed at every 8 weeks until Week 56 and then every 12 weeks; up to 802 days
Progression-free survival (PFS) is the time from treatment start to disease progression (or death if the patient died before progression). PFS as assessed based on investigator review according to the response evaluation criteria in solid tumours (RECIST) version 1.1.
Post baseline tumour-imaging was performed at every 8 weeks until Week 56 and then every 12 weeks; up to 802 days
Disease Control (CR, PR, Stable Disease [SD]) as Assessed by the Investigator According to RECIST 1.1
Tidsramme: Post baseline tumour-imaging was performed at every 8 weeks until Week 56 and then every 12 weeks; up to 802 days
As Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), disappearance of all target lesions; Partial Response (PR), =30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression.
Post baseline tumour-imaging was performed at every 8 weeks until Week 56 and then every 12 weeks; up to 802 days

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Boehringer Ingelheim

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Hjælpsomme links

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

2. oktober 2014

Primær færdiggørelse (Faktiske)

17. maj 2017

Studieafslutning (Faktiske)

13. juni 2017

Datoer for studieregistrering

Først indsendt

4. august 2014

Først indsendt, der opfyldte QC-kriterier

4. august 2014

Først opslået (Skøn)

5. august 2014

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

17. december 2018

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

1. juni 2018

Sidst verificeret

1. juni 2018

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 1200.217
  • 2014-001077-14 (EudraCT nummer)

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

CROs by country

CROs in Iran

Betingelser

Sjældne sygdomme

Narkotikainterventioner

Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

Abonner